Submit Application - Alaska EMDR Network Inc

Full Name

E-mail

Phone Number

Alaska License Status/Number

Which training company/trainer provided you EMDR Basic Training:

When did you complete EMDR Basic Training:

Current place(s) of employment:

1. What training are you seeking a scholarship for:

2. Please tell us about you as a professional. Include relevant education, work history and any organizations/associations to which you belong. We would also like to know about your experience with EMDR to include any other advanced trainings you have completed and any progress toward certification with EMDRIA (or other organizations).

3. Share about the population you serve (or plan to serve) and why you have chosen this as your focus.

4. Please explain why this training is relevant to your work. How do you plan to utilize the new information/skills? What barriers may prevent and/or limit your ability to do so?

5. Although you do not have to disclose specific details, please provide a general description of financial barriers which impact your ability to access this training.